healthcosts.net
Brcassure comprehensive panel-sendout at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$2,222.40
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$3,704.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$508.80 with UPMC Health Plan vs $3,222.40 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $508.80 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicare | $508.80 | ↓ -77% |
| AmeriHealth Caritas | Medicare | $524.06 | ↓ -76% |
| Cigna | Medicare | $534.24 | ↓ -76% |
| United Healthcare | Medicare | $544.42 | ↓ -76% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $549.50 | ↓ -75% |
| Coventry/First Health | Commercial | $1,282.18 | ↓ -42% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $1,330.34 | ↓ -40% |
| Aetna | PEBTF Custom Network | $1,375.46 | ↓ -38% |
| UPMC Health Plan | Commercial | $1,478.91 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,566.76 | ↓ -30% |
| Aetna | Commercial | $1,617.98 | ↓ -27% |
| Cigna | Commercial | $1,743.49 | ↓ -22% |
| UPMC Health Plan | Managed Medicaid | $1,784.32 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $1,784.32 | ↓ -20% |
| UPMC Health Plan | CHIP | $1,784.32 | ↓ -20% |
| UPMC Work Partners | Workers Comp | $1,803.57 | ↓ -19% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,808.65 | ↓ -19% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $1,828.93 | ↓ -18% |
| AmeriHealth Caritas | Medicaid | $1,828.93 | ↓ -18% |
| United Healthcare | Commercial | $1,882.56 | ↓ -15% |
| Wirerope Works | Commercial | $1,885.95 | ↓ -15% |
| Three Rivers Provider Network | All | $1,929.40 | ↓ -13% |
| United Healthcare Community Plan for Families | PA Medicaid | $2,076.30 | ↓ -7% |
| Aetna | First Health | $2,238.72 | ↑ +1% |
| Geisinger | Commercial | $2,272.64 | ↑ +2% |
| Coventry/First Health | FH-Medical Rental | $2,282.82 | ↑ +3% |
| Multiplan | Auto | $2,645.76 | ↑ +19% |
| Multiplan | PPO (Includes PHCS as a Payer) | $2,645.76 | ↑ +19% |
| America's Choice | PPO | $2,713.60 | ↑ +22% |
| InterGroup | PPO | $2,713.60 | ↑ +22% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,764.40 | ↑ +24% |
| Multiplan | Worker's Compensation | $3,222.40 | ↑ +45% |
Visitor-reported prices
Comments
Brcassure comprehensive panel-sendout at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,287.20 | $1,088.00 – $2,720.00 |
| UPMC Mercy | Pittsburgh | $1,920.00 | $892.80 – $2,880.00 |
| UPMC Northwest | Seneca | $1,920.00 | $1,280.00 – $2,720.00 |
| UPMC Presbyterian | Pittsburgh | $1,920.00 | $1,500.48 – $2,720.00 |
| UPMC St. Margaret | Pittsburgh | $1,920.00 | $806.40 – $2,720.00 |
| UPMC Wellsboro | Wellsboro | $2,560.00 | $576.00 – $2,880.00 |
| UPMC Williamsport | Williamsport | $1,920.00 | $864.00 – $2,560.00 |